Prevalence of Malnutrition in Various Political, Economic, and Geographic Settings

Kłęk, Stanisław; Krznarić, Željko; Gündoğdu, Rıza Haldun; Chourdakis, Michael; Kėkštas, Gintautas; Jakobson, Triin; Paluszkiewicz, Piotr; Bender, Darija Vranešić; Uyar, Mehmet; Demırağ, Kubilay; Poulia, Kalliopi-Anna; Klimašauskas, Andrius; Starkopf, Joel; Gałaś, Aleksander

doi:10.1177/0148607113505860

Cited by 26 publications

(14 citation statements)

References 22 publications

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“…Undernutrition, defined as a state of altered body composition and body cell mass resulting from a lack of uptake or intake of nutrition that leads to diminished physical and mental function and impaired outcomes from disease [1], affects up to 65% of hospitalized patients [2,3]. Malnutrition can make a person more susceptible to infection, and infection also contributes to malnutrition, which leads to a vicious cycle [2].…”

Section: Introductionmentioning

confidence: 99%

Nutritional therapy and outcomes in underweight critically ill patients

et al. 2020

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s u m m a r yBackground & aims: Critically ill patients with body mass index (BMI) < 20 kg/m 2 have worse outcomes than normal/overweight patients possibly because underweight is a marker of malnutrition. To assess the effects of nutrition therapy in this population during the first week of an ICU stay. Methods: Prospective, 2-centre, observational study. Nutritional evaluations were performed between days 2 and 3 (first) and between days 5 and 7 (second) of ICU admission. In the first evaluation, patients were divided into non-fed (without nutritional support) and early-fed (those already receiving nutritional support) groups. In the second evaluation, patients were divided according to caloric intake (or<20 kcal/kg) and protein intake (or<1.3 g of protein/kg). Results: Of the 4236 patients screened and 342 were included in the cohort. Mortality was 58.5% (median 21 [11e38.25] days of follow-up). Unadjusted patient survival was worse in the non-fed group than in the early-fed group (HR 1.66; 95%CI, 1.18 to 2.32). There was no difference in mortality between groups after adjusting for the SOFA score on the day of the evaluation. At the second evaluation, unadjusted analysis showed better in-hospital survival in patients with higher caloric (HR0.58; 95%CI, 0.40 to 0.86) and protein intake (HR0.59; 95%CI, 0.42 to 0.82); there was no association between mortality and caloric or protein intake after adjusting for the SOFA score on the day of the evaluation. Conclusion: Nutritional therapy in the first week of ICU stay did not affect vital outcome after adjusting for the SOFA score on the day of the evaluation in underweight critically ill patients. Clinical trial registry: ClinicalTrials.gov number NCT03398343.

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Section: Introductionmentioning

confidence: 99%

Nutritional therapy and outcomes in underweight critically ill patients

et al. 2020

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“…In general, up to 30% of hospitalized patients received some type of specialized NS [8]. Usually, a high frequency of hyperglycemia is observed in these patients.…”

Section: Introductionmentioning

confidence: 99%

Insulin Regimens to Treat Hyperglycemia in Hospitalized Patients on Nutritional Support: Systematic Review and Meta-Analyses

Viana

Viana²,

Tavares³

et al. 2017

Ann Nutr Metab

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Background: The best insulin regimen to treat hyperglycemia in hospitalized patients on nutritional support (NS) is unclear. Methods: We searched electronic databases to identify cohort studies or randomized clinical trials in order to evaluate the efficacy of different insulin regimens used to treat hyperglycemia in hospitalized patients on NS on diverse outcomes: mean blood glucose (MBG), hypoglycemia, length of stay in hospital, and mortality. Results: Seventeen studies from a total of 5,030 were included. Enteral Group included 8 studies; 1,203 patients using rapid, glargine, NPH, or Premix insulin; MBG 108-225 mg/dL; hypoglycemia 0-13%. In indirect meta-analyses, NPH insulin ranked best for glucose control (MD 95% CI -2.50 mg/dL [2.65 to -2.35]). Parenteral Group included 4 studies; 228 patients using regular and glargine or NPH insulin; MBG 137-202 mg/dL; hypoglycemia 0-40%. In meta-analyses comparing regular insulin added to parenteral nutrition bag with glargine, MBG (MD 95% CI -3.78 mg/dL [-11.93 to 4.37]; I² = 0%) or hypoglycemia frequency (RR 95% CI 1.37 [0.43-4.32]; I² = 70.7%) did not differ. The description related to hospital length of stay and mortality was inconsistent between groups. Conclusions: The best insulin regimen to treat hyperglycemia in hospitalized patients on NS has not been established; best results using insulin regimens with NPH in enteral nutrition do not seem to be clinically relevant.

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“…Studies have shown that the prevalence of malnutrition varies from almost 10 to 60% depending on the hospital and country [1][2][3] . In hospitals worldwide, it is found that malnutrition greatly influences diseases and disease recovery and therefore is a major challenge in the Key Words NutritionDay · Malnutrition · Nutrition support · Length of hospital stay Abstract Background and Aims: Malnutrition is a common and critical problem that greatly influences the clinical outcomes of hospitalized patients.…”

Section: Introductionmentioning

confidence: 99%

Nutrition Status, Nutrition Support Therapy, and Food Intake are Related to Prolonged Hospital Stays in China: Results from the NutritionDay 2015 Survey

Zheng

Huang²,

Shi³

et al. 2016

Ann Nutr Metab

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Background and Aims: Malnutrition is a common and critical problem that greatly influences the clinical outcomes of hospitalized patients. Nutrition support therapy and food intake, in addition to disease-related factors, are also important to maintain the nutrition status of patients. In light of this, we aimed to examine the risk factors associated with malnutrition in 3 hospitals in China. Methods: This project was part of the NutritionDay audit, an international daylong cross-sectional audit investigating the nutritional intervention profiles of hospitalized patients. Seven standardized questionnaires were used, and malnutrition was defined as a body mass index <18.5 kg/m² or unintentional weight loss >5% in last 3 months. Results: A total of 842 hospitalized patients from 9 units in 3 Chinese hospitals participated in the project on November 19, 2015. Among them, 825 were included in the analyses. Malnutrition was identified in 29.3% of the patients and oral nutrition was the primary nutrition support therapy administered (n = 623, 75.6%). Age, nutrition support, and food intake during the past week were independent risk factors for malnutrition. Furthermore, nutrition status, nutrition support therapy, and food intake during the past week were associated with prolonged length of stay. Conclusions: The prevalence of malnutrition in Chinese hospitals was similar to that in European hospitals. Nutrition status was associated with age, nutrition support, and food intake, which was closely related to patients' clinical outcome, such as prolonged hospital stays as confirmed in this study. More studies are needed to determine why nutrition intake is often inadequate and to determine efficient methods for correcting the nutrition status of patients.

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Prevalence of Malnutrition in Various Political, Economic, and Geographic Settings

Cited by 26 publications

References 22 publications

Nutritional therapy and outcomes in underweight critically ill patients

Nutritional therapy and outcomes in underweight critically ill patients

Insulin Regimens to Treat Hyperglycemia in Hospitalized Patients on Nutritional Support: Systematic Review and Meta-Analyses

Nutrition Status, Nutrition Support Therapy, and Food Intake are Related to Prolonged Hospital Stays in China: Results from the NutritionDay 2015 Survey

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